Common use of APPLICATION FOR ASSAULT LEAVE Clause in Contracts

APPLICATION FOR ASSAULT LEAVE. Pursuant to the provisions of the negotiated agreements with the Cleveland Heights-University Heights City School District and EAPSC, the Cleveland Heights Teachers Union, Local 795, AFT, and the OAPSE Locals 102 and 617, I hereby apply for assault leave and, in support of my application, state the following: Employee Name: Building: I began my absence on: I returned to duty on: I was assaulted on: by: (name of employee or student) at: in the following manner: (place where incident occurred) (furnish brief description of occurrence - use back of form if necessary) The assault was witnessed by: and was reported to: on (name of supervisor/administrator)

APPLICATION FOR ASSAULT LEAVE. Pursuant to the provisions of the negotiated agreements with the Cleveland Heights-University Heights- University. Heights City School District and EAPSC, the Cleveland Heights ‘Teachers Union, Local 795, AFT, and the OAPSE Locals 102 and 617, I 1 hereby apply for assault leave and, in support of my my, application, state the following: Employee Name: Building: I began my absence on: I returned to duty on: I was assaulted on: by: (name of employee or student) at: in the following manner: (place where incident occurred) (furnish brief description of occurrence - – use back of form if necessary) The assault was witnessed by: and was reported to: on (name of supervisor/administrator)